Dr. Richard Otto Stader
Pediatric Orthopaedic Surgeon
5249 Olde Towne Rd
Williamsburg
, Virginia 23188-8111
Dr. Richard Otto Stader
Pediatric Orthopaedic Surgeon
5249 Olde Towne Rd
Williamsburg
, Virginia 23188-8111
(757) 258-4664
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Richard Otto Stader
- 137 Links Of Leith
- Williamsburg, VA
- Zip : 23188-7465
- Phone : (757) 258-4664
Second Address
- Dr. Richard Otto Stader
- 5249 Olde Towne Rd
- Williamsburg, VA
- Zip : 23188-8111
- Phone : (757) 259-3258
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 43206 | VA |
National Provider Identifier
| NPI | 1750598249 |
|---|---|
| Provider Name | Dr. Richard Otto Stader |
| First Address | Williamsburg, VA 23188-7465 |
| Second Address | Williamsburg, VA 23188-8111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.